• Eur J Surg · Jul 1996

    Clinical experience with percutaneous dilatational tracheostomy: report of 150 cases.

    • L W van Heurn, G J van Geffen, and P R Brink.
    • Surgical Unit, De Wever Hospital, Heerlen, The Netherlands.
    • Eur J Surg. 1996 Jul 1; 162 (7): 531-5.

    ObjectiveTo report our experience with percutaneous dilatational tracheostomy.DesignRetrospective study.SettingTeaching hospital. The Netherlands.Subjects147 patients.Interventions150 percutaneous dilatational tracheostomies, 95 (63%) for prolonged ventilation, 37 (25%) for pulmonary toilet, and 18 (12%) for upper airway obstruction.Main Outcome MeasuresMorbidity and mortality.ResultsThe success rate of the procedure was 99%. Operative complications occurred in 16 (11%) and were usually minor. During a total duration of cannulation of 5212 days four complications were recorded. Haemorrhage was the most common early complication (n = 14). Late complications (five to 53 months after decannulation) included tracheal stenosis (n = 1), tracheomalacia (n = 2), tracheocutaneous fistula (n = 2) and an ugly scar (n = 1).ConclusionPercutaneous dilatational tracheostomy is a simple, safe and cost effective technique for inserting a tracheal cannula.

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